Overnight stay for mastectomy

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Anonymous
Anonymous Member Posts: 1,376
edited July 2016 in Surgery - Before, During, and After
Overnight stay for mastectomy
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  • LM525
    LM525 Member Posts: 56
    edited July 2016

    I had Lt mastectomy and SNB yesterday 7/15/2016 I was sent home from the recovery room. They told me my vital signs were good I had no vomiting but I did have 2mg morphine and zofran for nausea. Is this a normal thing? I just want to be safe--Anyone have this experience

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  • Meow13
    Meow13 Member Posts: 4,859
    edited July 2016

    usually you stay overnight

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  • dtad
    dtad Member Posts: 2,323
    edited July 2016

    IMO thats way too soon but its probably insurance driven. Your chances of getting an infection are higher the longer you stay in the hospital but...your pain and nausea should be under control before being discharged. Now that you are home make sure you follow the instructions on your discharge papers and do not hesitate to call doc if anything seems wrong. Im sure you will be fine. Good luck and keep us posted.

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  • sheila888
    sheila888 Member Posts: 25,634
    edited July 2016

    I requested 1 overnight stay...but the second day i wasn't ready to go home.

    After all the chaos with the hospital i was able to stay one more night.

    It is considered ambulatory surgery don't ask me why ...BMX shouldn't be go home the same day

    I'm glad you are OK....Please don't hesitate to call your DR or ER if you think it's necessary.

    Sending hugs

    Sheila

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  • LM525
    LM525 Member Posts: 56
    edited July 2016

    hi dtad I am sure it's insurance driven I had my Dr come to recovery to talk to me and she told me it was my choice so I told my nurse I wanted to stay and she told me she would have to present it to a panel and I probably wouldn't qualify to stay after about 2 hours of back and forth I just went home healthcare is quite pathetic these days in some pla

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  • LM525
    LM525 Member Posts: 56
    edited July 2016

    hi Shelia888 thanks for your warm wishes I will be watching things very closely after all this I don't want any problems-hope you're feeling better one day at a time we'll get through th

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  • Kawigirl1260
    Kawigirl1260 Member Posts: 60
    edited July 2016

    LM525, I went home the same day as my rmx. I had no reconstruction and was feeling well mid-afternoon. Surgery was at 10 a.m. I had a scheduled appointment to see the BS the next day - fewer than 24 hours post-surgery. My BS also had arranged for home health care to come in my second day home.

    I was told that, with no recon, I would go home the same day as long as pain and nausea were controlled. If I had implant recon, I would stay overnight. If having tissue recon, would be a 5-day stay. From what I've read here, it seems it's either based on your insurance or your medical team. Lots of differing experiences.

    My DH is off for the summer, so he was home to take care of me, which was a huge help.

    Take things easy. Contact your BS if you have any questions or concerns. I hope you're feeling well.

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  • ksusan
    ksusan Member Posts: 4,505
    edited July 2016

    I went home the same day, which was my preference and which appears to be standard for my area.

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  • LM525
    LM525 Member Posts: 56
    edited July 2016

    Thanks Lawigirl 1260. I'm doing pretty good. Was just scared this is quite the ride! I'm planning reconstruction depending on my pathology reports. Wel wishes to yo

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  • ChiSandy
    ChiSandy Member Posts: 12,133
    edited July 2016

    IL mandates that mx patients be allowed to stay at least overnight if they so desire, regardless of what their insurers might want (the insurer must cover at least an overnight stay if that’s what the patient wants). The statute was designed to prevent hospitals & insurers to force patients to have “drive-thru mastectomies.” And going through the “ambulatory” or “same-day” surgery suite doesn’t mean you will be discharged the same day against your will. When Bob had his hernia repair, he spent 2 nights in despite having had it performed in the same-day unit. Same when I had my lap choly. OTOH, lx is almost always a same-day-discharge surgery.

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  • RebzAmy
    RebzAmy Member Posts: 322
    edited July 2016

    Wow, I stayed in for a week after my mastectomy - although I'd had all of my chemo prior to this so that's maybe why, plus my white blood count was low as well. When I had my reconstruction - I had two - I stayed in for a week each time.

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  • Blessings2011
    Blessings2011 Member Posts: 4,276
    edited July 2016

    Had BMX in the afternoon, stayed overnight. PS came by the next morning and asked if I were ready to go home. Since I never got my pain under control, I said no. He said fine, and OK'd another night.

    Two minutes later the Charge Nurse came storming into my room and said "What's this I hear about you not going home this morning? You need to LEAVE. This hospital is NOT the place for you to recover. You need to be home, in your own bed. Whatever you need, we'll make sure you get it before you go, but you have to leave. I don't want you to risk getting any infections."

    Sheesh! I told her to go ahead and contact the doc and have him give me my D/C papers. But aside from her scary bedside manner, she was absolutely right. My pain was not under control because I never used the morphine PCA. (I got a boatload of drugs for at home.) I was given all the info I needed on what symptoms to watch out for. I did feel better being in my own bed, but concerned that DH had to be my nurse. (He didn't mind.)

    I think the overnight stay was important for observation after a major surgery, but after that... I sure didn't want to pick up any hospital-acquired germs.

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  • Artista928
    Artista928 Member Posts: 2,753
    edited July 2016

    I had a choice between out pt sx center or hospital for bmx. I chose hospital and stayed 2 nights. I just told my surg I'd feel better if I were in for 2 and he wrote "pain" as the excuse to get it auth'd.

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  • Meow13
    Meow13 Member Posts: 4,859
    edited July 2016

    I must say my stay was very nice. The room had a city view and the nurses were wonderful.

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